Individual provider · Type 1 NPI
Jennifer Lyn Gravos-Bauer, DPM
Foot & Ankle Surgery Podiatrist · Sidney, MT
NPI number
1679138242
Active
Practice location
216 14th Ave SW
Sidney, MT 59270-3519
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | None listed |
| Foot & Ankle Surgery Podiatrist Primary | 213ES0103X | MED-POD-LIC-114092 (MT) |
Foot & Ankle Surgery Podiatrist: Definition to come...
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About NPI 1679138242
Jennifer Lyn Gravos-Bauer, DPM's National Provider Identifier is 1679138242, issued on May 8, 2019. The primary taxonomy on file is Foot & Ankle Surgery Podiatrist (213ES0103X), and the practice location is in Sidney, MT. The record was last updated on Aug 21, 2023.